0001493152-21-006708 Sample Contracts

WARRANT TO PURCHASE SHARES OF COMMON STOCK OF SCOUTCAM INC. (the “Corporation”)
ScoutCam Inc. • March 24th, 2021 • Optical instruments & lenses

This warrant to purchase shares of Common Stock (the “Warrant”) certifies that, for value received, (the “Holder”) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth, at any time on or after March , 2021 (the “Initial Exercise Date”), and on or prior to the close of business March 31, 2026 (the “Termination Date”), provided that, if such date is not a Trading Day, the Termination Date should be the immediate following Trading Day but not thereafter, to subscribe for and purchase from the Corporation, up to shares of Common Stock (the “Warrant Shares”). The purchase price of one Warrant Share shall be equal to the Exercise Price, as defined in Section 2(b).

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